Active NPI
Hermina Serwah
- Adult Companion
- Bronx, NY
National Provider Identifier
1770222929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 1889 Randall Ave FL 2
Bronx, NY 10473-2933 - Phone
- (929) 216-5829
- NPI assigned
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | NY | Primary |
Addresses
Primary practice location
1889 Randall Ave FL 2
Bronx, NY 10473-2933
Mailing address
1889 Randall Ave Apt 2ND
Bronx, NY 10473-2933
Phone (646) 703-8007
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821481243 | Medicaid | NY | |
| 18214812343 | Other | NY | COMPANION CARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | OTHER | Other | |
| Other URL | OTHER | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1770222929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1889 RANDALL AVE APT 2ND",
"city": "BRONX",
"state": "NY",
"postal_code": "104732933",
"telephone_number": "646-703-8007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1889 RANDALL AVE FL 2",
"city": "BRONX",
"state": "NY",
"postal_code": "104732933",
"telephone_number": "929-216-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERWAH",
"first_name": "HERMINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2022-06-03",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821481243",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPANION CARE",
"identifier": "18214812343",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OTHER",
"affiliation": "N",
"endpointDescription": "OTHER",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "OTHER",
"address_1": "3452 Boller Ave Fl 3",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104751404",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "OTHER",
"affiliation": "N",
"endpointDescription": "OTHER",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "OTHER",
"address_1": "3452 Boller Ave Fl 3",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104751404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.